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General NPI Number Information
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NPI Number | 1801755459
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Entity Type | Organization
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Legal Business Name | POTOMAC PEDIATRIC DENTAL GROUP LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 12850 MIDDLEBROOK RD STE 210
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City | GERMANTOWN
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State | MD
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Zip | 20874-5244
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Country | US
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Telephone | 301-881-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 12850 MIDDLEBROOK RD STE 210
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City | GERMANTOWN
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State | MD
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Zip | 20874-5244
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Country | US
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Telephone | 301-881-0220
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Fax |
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Authorized Official
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Title or Position | OWNER/DDS
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Name | ANDREW HORNG
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Credential | DDS
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Telephone | 301-881-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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